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se call Customer Care. • Please print dearly In blue or black Ink only In the boxes provided. Street Address City, State Zip Code Area Code and Horne Phone Area Code and 1Vork Phone Email Website: americanexpress.com Mobile Site: amexmobile.com Customer Care & Billing Inquiries P.O. BOX 981
15.00 TIP $2.00 10/15/11 GILT GROUPE NY 10/17/11 ORBITZ MANKATO MN JETBLUE AIRWAYS $17.00 $141.48 $288.70 From: To: Carrier: Class: PALM BEACH INTERNA N.Y.1 F KENNEDY I 86 Q N/A YY 00 N/A YY 00 N/A YY 00 Date of Departure: 10/19 Continued on reverse EFTA00523921 Account Ending 34200
se call Customer Care. • Please print dearly In blue or black Ink only In the boxes provided. Street Address City, State Zip Code Area Code and Horne Phone Area Code and 1Vork Phone Email Website: americanexpress.com Mobile Site: amexmoblle.com Customer Care & Billing Inquiries P.O. BOX 981
Passenger Name: Document Type: PASSENGER TICKET 09/17/12 AMERICAN EXPRESS TVLPHOENIX AZ JETBLUE AIRWAYS CORPORATI From: To: Carrier. Class: PALM BEACH INTERNA NEW YORK LA GUARD! B6 N/A re 00 N/A yr 00 N/A re 00 Ticket Number: 27971333969821 Date of Departure:09/30 Passenger Name: SHUUAK/KARYNA
ease call Custom*, Care. • Please print clearly in blue of black ink only in the boxes wooded. Street Address City. State Zip Code Area Codeand Horne Phone Area and Work Phone Email Websge: americanexpress.com Customer Care & BIII Inquiries P.O. BOX 981535 EL PASO,TX 79998-1535 Payments
: V1SOSKVLAWRENCE PAUL Document Type: MISCELLANEOUS TAX(S)/FEE(S) DELTA AIR LINES ATLANTA $347.00 DELTA AIR LINES From: To: Cartier: Class: PALM BEACH INTERNA ATLANTA HARTSFIELD TALLAHASSEE Ticket Number: 00623731342054 Passenger Name:VISOSKVLAWRENCE PAUL Document Type: PASSENGER TICKET DL DL 0 Date
, please call Customer Can. • Please pint cloudy Mean or black ink only in the bones provided. street Address City. State op Code Area Code and Horne Phone Area Code and Work Phone Email *Sate: americanexpress.com Mobile Site: amexmobile.com Customer Care & Billing Inquiries P.O. BOX 981535
arture: 12/27 Passenger Name: Document Type: SUPPORTED REFUND AMERICAN EXPRESS WI SVC PHOENIX AZ UNITED AIRLINES From: To: Carrier: Class: PALM BEACH INTERNA TAMPA INTERNATIONA UA WA YY 00 N/A YY 00 N/A YY 00 Ticket Number: Date of Departure: 12/27 Passenger Name: Document Type:SUPPORTED REFUN
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